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PROVIDENCE SURGERY AND PROCEDURE CENTER LLC

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Company Details

Legal Name: PROVIDENCE SURGERY AND PROCEDURE CENTER LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: September 30th 2022
Expiration date: 30 Sep 2025
UBI Number: 604 978 741
ZIP code: 98057
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1801 LIND AVE SW, RENTON, WA, 98057-3368, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 14201 DALLAS PKWY, FL 13, DALLAS, TX, 75254, UNITED STATES

Contact Details

E-Mail: OFFICEOFLEGALAFFAIRS.SYSTEMOFFICE@PROVIDENCE.ORG
Phone Number: +1 425-525-3355

Nature of Business

Any Lawful Purpose, TO OPERATE EXCLUSIVELY FOR THE CHARITABLE, SCIENTIFIC OR EDUCATIONAL PURPOSES OF PH&S-WA, AND TO ENGAGE IN ANY LAWFUL PURPOSE

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role Address
MATTHEW WHEELUS Governing Person -
JEANINE SHEPARD Governing Person 4 MARTIN WAY, LIVINGSTON, MT, 59047-9271, UNITED STATES

National Provider Identifier

NPI Number:
1205545860
Certification Date:
2024-10-11

Authorized Person:

Name:
JONATHAN BAILEY
Role:
OFFICER/AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

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